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Core Issues Addressed in 19 Case Studies

  • Value-Based Benefit Design: Employers

Expectations Laurel Pickering Executive Director NEW YORK BUSINESS GROUP ON HEALTH

  • Applying Quality Information & Incentives

Dianne Kiehl Executive Director BUSINESS HEALTH CARE GROUP

Next Generation P4P Programs: Tools to Measure Performance Ravi Shankar VP of Performance Improvement AMERIGROUP

  • Utilizing Evidence for P4P & Benefit

Designs Irene Fraser, PhD Director of the Center for Delivery, Organization, and Markets AGENCY FOR HEALTHCARE RESEARCH & QUALITY

  • Creating a Phase Two P4P Program

Owen Poole President and Chief Executive Officer Paula Aayatore Director of Managed Care MOUNTAIN STATES HEALTH ALLIANCE

  • Collaboration Between Hospitals & Health Plans Michael Madden, MD Medical Director HIGHMARK

  • Transitioning from a Static P4P to a Value-Based P4P Stephen Orndoff Associate VP of Provider & Community Affairs AMERIGROUP MERCY HEALTH PLANS

  • Optimizing Payor & Physician Relationships Linda Clem Director of Clinical Performance Improvement MT. CARMEL PHYSICIAN ORGANIZATION

  • Improving Utilization & Quality in the

ED with P4P Sue Foster Director of Provider Services MOLINA HEALTHCARE

  • Value-Based Benefits for the Diabetic

Population Kavita Nair, PhD Associate Professor UNIVERSITY OF COLORADO SCHOOL OF PHARMACY

Optimizing Pay for Performance & Value- Based Benefit Design

100% Content Designed to Implement Successful Strategies, Expand Efficiency Measurements, and Drive Quality Performance

December 3-5, 2008 • Doubletree Paradise Valley Resort • Scottsdale, AZ

What Makes the 2008 Program Different?

  • Expanded program – afternoon tracks for medical management and contract & network management

  • Real results for you to apply to your health plan showcased in every case study

  • Expanded speaking faculty 25 speakers in 2008 vs. 15 in 2007

  • Maximizing the commercial value of quality improvement programs

  • Improving your own program with the newest tools and techniques

Featured Panel: Covering the Cost of P4P

  • CIGNA HealthCare

  • Public Employees Health Program

  • Highmark

  • CareFirst

Medical Management Track

  • Population-Based Payments &

Improving Medical Management


  • Creating Physician Group Incentive


Maurice Sahar Associate Executive Director, Quality Management METROPLUS HEALTH PLAN

  • Designing the Best Strategies & Practices for the Medical Home Frank Opelka, PhD Vice Chancellor for Clinical Affairs & Professor of Surgery LOUISIANA STATE UNIVERSITY

  • Bridges to Excellence & Health Plans Joseph Johnson, MD VP of Medical Affairs CLEAR CHOICE HEALTH PLANS

Contract & Network Management Track

  • Performance-Based Contracting Augustine Manocchia, MD Chief Medical Officer BLUE CROSS BLUE SHIELD OF RHODE ISLAND

  • Improving Quality & Costs with P4P Richard Weisblatt, MD VP Network Services HARVARD PILGRIM HEALTH CARE

  • Medical Home Programs & Incentivization Robert Cetti Director of Provider Relations CIGNA HEALTHCARE

  • Integrating New Incentives that Drive Quality Improvement into Contracts Marla Tobin, MD Regional Medical Director AETNA

2 Pre-Conference Workshops


The Value Measurement Life Cycle: Measuring Healthcare Quality & Efficiency

2 H o w t o S u c c e s s f u l l y I m p l e m e n t P a y f o r P e r f o r m a n c e o r a V a l u e - B a s e d B e n e fi t D e s i g n P r o g r a m

TO REGISTER: Call: 800-647-7600 or 781-939-2500 Fax: 781-939-2543 e-mail: info@worldrg.com www.worldrg.com/p4p

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